Week two in clinical was much better. Things ran more smoothly, I saw my strength and weaknesses. I still need to work on my nursing notes and some procedures. But as for time management; which was really hard for me to get together. I seem to be doing better at it. I think now I'm still nervous on starting procedures such as IV therapy or certain dressing changes, but I have a good clinical instructor that makes me feel like although we shouldn’t make mistakes, it is ok to learn from them when they are made. That doesn’t make me feel more anxious or nervous. I am also seeing how our theory class is relating to clinical due to us going over acid-base imbalances. Its hard to not learn and dump especially with how I had 6 months out of class.
The Medical advancements of WWI had a huge impact on the war; many soldiers’ lives were saved due to advances in medicine and the invention of the ambulance. The First World War had many casualties and deaths, many of these deaths were not caused by the “invisible soldier”. Most of the injuries in the war were caused by large explosions and gunshot wounds. With the invention of the ambulance, many soldiers were aided sooner rather than later, resulting in their lives being saved.
Before World War II, medicine and medical practices in the United States was lacking and ineffective. This made it so the majority of fatalities in war were not caused by trauma but by diseases. Diseases were often caught and incurable because of the lack of medical expertise the United States retained, causing death rates to be high. In war, diseases would wipe out soldiers before bullets were even fired. In the early 1930’s when the great depression started, the U.S was at its lowest point. Because of the poor state the United States was in, medical advancements were at a stop. Medical advancements with blood transfusions, vaccines, and antibiotics made it so the U.S strengthened as a whole. These medical advancements on the battlefield Reduced the loss of life in World War II.
During WW 1 psychiatrist Thomas W. Salmon advised the US armed forces to screen recruits and exclude “insane, feeble-minded, psychopathic, and neuropathic individuals.”with schizophrenia and mental retardation, conditions that would not give adequate service. The US armed forces rejected 2%. By the end of the war, there had been too many cases of mental breakdown and thatwas because screening had not been sufficiently stringent. Screening during WW 2, US psychiatrists would weed out individuals predisposed to breakdown, which would reduce or eliminate mental health problems during deployment. In December 1940, Harry Stack Sullivan, a psychoanalyst, believed that the US armed forces should exclude individuals suffering from mental illness and those with neurosis or maladjustment.
Dear diary, I have been deported, we traveled through Hungary and Poland. We were taken through the forest to an area where we were required to dig huge trenches. When we were finished with the job, the Gestapo had to do theirs. Without even hesitating or resisting, the Gestapo had each of us stand in front of the trenches and killed each of us. I managed to escape by being mistaken for being dead but I was just wounded. What broke my heart was that infants were being thrown in the air (young children) and were used for the machine gun target. Young children had to suffer, all Jews had to suffer. Why would any human wanna do this to us? We all are humans too and we shouldn’t be used as targets or killed because of our religion.Once I had made
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
Infection was not only an issue due to a lack of sanitation. There was little knowledge about how the speed of the treatment of a patient could alter their survival rate. The discovery of patient prioritization during World War One greatly reduced the number of fatalities in the field hospitals. World War One saw the rise of two main concepts related to patient prioritization: Triage, and The Golden Hour. Both of these ideas have continued to be important concepts in modern medicine. The process of triage was introduced before the war, but only gained popularity during war. Triage became standard practice in WWI and “nurses became much more systematic in their approach” (“Nursing and Medicine During World War I” ceufast.com). The reason this
World War 1 was a deadly battle with millions dead, but do you ever wonder what caused world war 2? There are many causes for world war 2, but the item that caused an impact on the war the Treaty of Versailles. World war 1 started on August 1914 and ended on November 1918 it lasted for 4 years and 3 months. World War 2 lasted for 6 years with even more people dead and injured. So how did the versailles treaty help cause world war 2. The treaty of versailles punished Germany too harshly in four key ways: Territorial losses, showing how Germany is weak, and vulnerable, making the Germans pay, and the germans also wanted to destroy the treaty.
Last week was my first clinical day. I felt like OB rotation was more interesting than the pediatric rotation. I did not like the way the nurses treated us. They did not want us to be with them. I felt ashamed when the nurse said, “I do not want to work with students” I am busy or too much pressure.” The purpose of going to West Boca hospital is to learn new skills and practice what I learn in class. I hope the nurses will treat us as students and willing to help throughout the clinical rotation at West Boca Hospital.
Trauma can be defined as something that repeats itself. In The Things They Carried, by Tim O’Brien, trauma recurs in soldiers for different reasons. However, although their reasons for trauma are different, the things they carried can symbolize all the emotions and pasts of these soldiers. One man may suffer trauma from looking through letters and photographs of an old lover, while another man could feel trauma just from memories of the past. The word “carried” is used repeatedly throughout The Things They Carried. Derived from the Latin word “quadrare,” meaning “suitable,” O’Brien uses the word “carried” not to simply state what the men were carrying, but to give us insight into each soldiers’ emotions and character, his past, and his present.
Some things I need to work on are making sure I prioritize what should be done, and making sure I delegate any task that can be delegated, if I feel overwhelmed. As graduation comes near, I feel like I have learned so much more from being on this unit alone. I feel like I could take care of a couple of patients by myself, I improved on my medications, educating the patient, and providing adequate care for each and every patient. While on the unit, I got the chance to ask a variety of nurses different questions about their transition from new graduate to register nurse. I asked them why they choose this floor to work on , and a majority of them said because they precept on this floor and feel in love with neuro and the staff here. I also asked, how was your experiencing transferring from school to your first RN job, one nurse said that she only had the opportunity to orient for about three months before they put me on the floor because of a shortage of nurses. She did say that it was an excellent experience and she had a chance to learn so much. In addition, I asked them about the challenges they faced and how they overcame these challenges, they replied by saying that some of
As I reminisce on my first three semesters of nursing school I recall feeling unsure of what to expect; nervous, excited, overwhelmed, and eager to learn and begin my journey of one day becoming a great future nurse. I have had the pleasure to have some great nursing instructors who have had a positive impact on my life both personally and professionally. One instructor in particular gave me some of the best advice I have ever received. She told me to stay away from negativity, to surround myself around positive people and to have a strong support system. She told me that at times I would feel stressed and overwhelmed and when that would happen to reflect back on why I wanted to become a nurse. She also told me that if I ever needed someone to talk to that she would be there. True to her word she has been there for me on many occasions not only has she helped me
The Second World War is recognized as one of the most destructive and innovative wars in history. Many of the pharmaceutical drugs and methods that are utilized today were discovered through trial and error in World War II. The new ingenious, destructive weapons that were developed during this war made the evolution of the medical field imperative in order to keep soldiers alive. Due to new medical advancements made during World War 2, such as new treatments, convalescent surgeries, developing medicines, and other inventions the survival rate of soldiers increased greatly.
My clinical rotation in the acute care hospital has definitely been a great learning experience, it was a big transition for me having been working in a long-term care facilities for six years. There were three positive aspects about my performance that I will take away from this learning experience.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
The week was a chaotic and short week. Monday was a great day. My mentor was out for the first half of the day and I was in charge of the classroom. The students tried to push their limits but I explained that we are going to work. Tuesday was a crazy mess due to Valentine’s Day excitement. On Wednesday, it was much calmer and the first learning experience was implemented. The goals that were created last week are still in effect.